The Premise

In this episode of The Premise, Jennifer and Chad talk with Anastasia Zadeik, author of the novel The Other Side of Nothing, and Bethanne Patrick, memoirist of Life B,  to explore their nuanced experiences of dealing with and writing about mental health issues through their respective works. Anastasia discusses how her inspiration was drawn from personal family experiences and the intricate research that shaped her novel, while Bethanne opens up about her journey with double depression and the importance of finding the right diagnosis and treatment.

The episode showcases the honesty and compassion in both authors' narratives, emphasizing the importance of breaking the stigma surrounding mental illness. The conversation touches on the challenges of writing about such sensitive topics, the intersection of personal and fictional storytelling, and the vital need for both education on the topic and for support systems to be put in place.

Whether you are personally affected by mental health issues or are seeking to broaden your perspective, this discussion is a must-listen.

Bethanne Patrick's Website
Anastasia Zadeik's Website

Creators & Guests

Host
Jeniffer Thompson
Writer. Reader. Interviewer. Cohost of The Premise Podcast. I help authors build brands + websites. Cofounder of the San Diego Writers Festival. Chicken-mama.
Guest
Anastasia Zadeik
Guest
Bethanne Patrick Is Still Writing
LIFE B MEMOIR: https://t.co/CssltFRA3l LIFE B AUDIO: https://t.co/xn3nt02iEwCritic @LATimes Host @MissPagesPod Insta/THREADS @DearBookMavenCreated #FridayReads
Producer
Chad Thompson
Chad Thompson, co-founder of Monkey C Media, offers professional photography and videography services. He has an eye for detail and a command of lighting that gives him the ability to show his subjects at their very best. You can count on seeing Chad around South Park on his bicycle with a camera slung over his shoulder. If he has never taken a picture of you, chances are good you have never met him.

What is The Premise?

Here on The Premise Jeniffer and Chad Thompson talk to storytellers of all types. From authors to musicians, poets, screenwriters, and comedians we get down to the tiny grain of sand that becomes a pearl—getting to the story behind the storyteller.

>> Jeniffer: Hello and welcome to the premise. I'm Jennifer

Thompson. I'm Chad Thompson. And we are here today

with two amazing women, Anastasia

Zadeik and Bethan Patrick. And today

we're going to be talking about mental health.

This is a very important topic to me.

I have mental health in my family

and I grew up with a bipolar father. He probably

had personality disorders as well. So

today we're really going to dive into what this

looks like for someone who's lived it and writing

about it, writing about characters. And Anastasia,

you've had experiences in your family as well, I think,

who hasn't, right? And yet we act like

we can't talk about it. It's one of those taboo topics. We want

to change that. Bethan Kelly Patrick is the author

of her, her memoir, life overcoming

Double depression. And Anastasia Zadig is the

author of the novel the other side of nothing.

Ladies, thank you for being here today.

>> Anastasia Zadeik: Thank you for having us. This is great.

>> Bethannee Patrick: Thank you so much. Delighted.

>> Jeniffer: Beth Ann Patrick maintains a storied place in the

publishing industry as a critic and as the

bookmaven on Twitter, formerly

Twitter, where she created the popular

hash fridayreads and regularly comments

on books and literary ideas to over

200,000 followers. Her work appears

frequently in the Los Angeles Times as well as in the

Washington Post, NPR Books and Literary

hub. She sits on the board of the PEn Faulkner

foundation and has served on the board of the National

Book Critics Circle. She is the host of

missing Pages podcast. Again, Bethanneee, thank you so

much for being here today.

>> Bethanne Patrick: Thanks again, Jennifer. It's really such a

delight. And I cannot wait to, be in

conversation with Anastasia.

>> Jeniffer: I know this is kind of exciting and we'll tell our

listeners a little bit more about how you all know each other.

Anastasia Zaddyk is a writer, editor and

storyteller. After graduating summa cum

laude laude from Smith College with a

degree in psychology, she had an international

career in neuropsychological research while

raising her two children. She now serves as the

director of communications for the San Diego Writers Festival,

as many of you know, and as a

mentor for the literary nonprofit, so say we all.

She is a board member for the International Memoir Writers

association. Her debut novel, Blurred fates,

won both the 2023 Sarton Award and the

2023 NIEA for

contemporary fiction, her second novel. Again, we're going to

be talking about today, the other side of

nothing, was released recently on May

28. So congratulations, Anastasia.

>> Anastasia Zadeik: Thank you so much.

>> Jeniffer: And actually, let's just tell our listeners so everyone knows. We record

these in advance. Today is actually your release date.

>> Anastasia Zadeik: It is.

>> Jeniffer: Today's my release day. So when you got out of bed this

morning, there were fireworks.

>> Anastasia Zadeik: Oh, yeah, for sure.

>> Jeniffer: The whole room was filled with roses.

>> Anastasia Zadeik: No, my daughter's dog came in and woke me up

and it was like 630.

>> Jeniffer: That's kind of like fireworks.

Anastasia, thank you so much for being here.

>> Anastasia Zadeik: Thank you so much for having me.

I am also looking forward to this conversation with Beth Ann.

>> Jeniffer: So how do you all know each other?

>> Anastasia Zadeik: Do you want to take that one Bethanne?

>> Bethanne Patrick: Or should I will take that one? we

actually graduated in the same

class from Smith College. Although I

graduated san laude to

Anastasia summa cum laude.

But she has three very close

friends whom I knew, I knew one of them

extremely well. And they are just,

let's put it this way. Smith women

are awesome. And it's just,

it was so, amazing because

Anastasia's publicist, Caitlin,

Hamilton sumi, is also a Smith

alum and she is

terrific. and when she connected

us, she was so good

about being very

quiet. She knows that, I don't like hard

pitches, hard sells. She knows that

I tend to cover, you know, mostly

things from the bigger

publishing houses. But she

said you, you know, you really need to take a look at this

one. And I want to say, jennifer, to you

right now that I am so glad I did.

Because as I told Anastasia

when I, when I read the

first few pages, I just, I'm talking

like five to seven pages. I was

blown away. I could not believe

that I was reading something so

good. So,

it was just like, and I hate the word masterful. I've been talking

about this over the last couple of weeks, but so

assured, especially because

I have been since my book came out

a year ago and the paperback came out a couple of weeks

ago. I've been in this, world of

mental health narratives, fiction and nonfiction.

And to see something that really interested

me and kept me going and kept me

reading and yet was also so authentic

and compassionate was really something.

So I am thrilled,

Anastasia, for the, launch today. But that's, you

know, that's how we know each other. Isn't that amazing?

>> Jeniffer: It is amazing.

>> Anastasia Zadeik: It is. And it's so we, I actually,

I had not seen Bethany

for a long time until we were actually on a

Smith class of 85.

Zoom about your book life

be. Yes, yes. And I was

like, oh my gosh, this is amazing. And

so I'd heard of you and it was

kind of one of those like, oh, I'm in awe. I don't know if she'll

ever, ever speak to someone like me. But it

was so funny because I think we both kind of had this,

like, misconception, and now we are both

realizing we have so much in common. And whenever we

get on the phone or on a zoom, we

just talk and talk and talk and talk and talk.

>> Jeniffer: That's awesome. And you have so much to talk about.

>> Anastasia Zadeik: We do.

>> Bethanne Patrick: We do. We really do. And what's

really amazing about friends you make

later from your, you know,

college or graduate school

cohorts is that you're

never going to run out of things to talk about there. It's just,

it's such a beautiful thing. So

anyone who believes that, you know,

friendships, you stop making friendships at, you

know, 22, forget about it.

>> Anastasia Zadeik: I think that's right. And I think it's, it's interesting because when I

first spoke with Caitlin, we just

hit it off. And she knew that I had gone to Smith, but I didn't

publish that she had. And so we were talking

a little bit, and she said, you know, what are you, what are some of the things you're worried

about? Publicist for my first book as well. And I

said, I'm just nervous that I put out something that isn't, like,

really good, and I don't want to. And she goes, you're a

perfectionist. And I said, I am. And I said, how did you

know that? She said, because you went to Smith.

And I was like, how did you know I went to Smith? And she said, I

do my research. And then we found that. I think

it's just we had this shared experience,

and, it's not like we, we

weren't there at the same time. We didn't have the same

major, but we just had this shared experience. And

m it gave us commonality right off the bat.

>> Jeniffer: Speaking of shared experiences. So

we're looking at two books here that tackle mental health.

One, of course, is your memoir,

Bethanne, and this one,

your book, the other side of nothing, Anastasia, is a

novel. So I think what I'd like to do is start by you

telling us, a little bit about, you know, what your book is

about and then why you wrote it. And

let's start with Anastasia.

>> Anastasia Zadeik: Okay, so the other side of nothing

is a book about a young, the main

character is a young woman by the name of Julia. She has

literally just turned 18 when she

voluntarily checks herself into an

inpatient psychiatric facility because

she recognizes that the grief that

she has been experiencing for many months since

the death of her father has descended into something that is

a place where she can't get out of it

on her own. and

she has attempted suicide, and they've

put her on a medication that actually causes things to get a little

bit worse, which is a common and unfortunate

problem with certain SsRi's, which is

selective serotonin reuptake inhibitors

can sometimes cause that problem. so

she's feeling very desperate, and she knows she doesn't

want to live like this, but she also knows she doesn't really want to die.

And so she checks herself into this psychiatric facility where

she meets a young man. They fall in love.

He convinces her to leave against medical

advice, and they embark on a cross

country odyssey to try to

recreate an iconic Ansel Adams image

at Yosemite. And when their mothers learn that

they have disappeared, and they also learn that authorities

won't do anything because they're both young adults, which is another

issue in, you know, health, our healthcare

system that I wanted to address. They just. The two

mothers decide that they are going to try to find their

kids and take off after them with just a handful of

clues. So it's kind of a cross country.

Two cross country journeys that are happening in parallel, though not

exactly at the same time, because the kids have a head start.

And the reason I wrote it is because

several years before I started writing

it, my, nephew attempted to take

his own life. And I

learned so much in conversations with my sister

about not only what it's

like to have

that happen in your family, but also what it's like in your

community and how it feels to be the parent of

someone who is

watching their child struggle and not being able to

fix it or help them, and also

to have it be something

mental illness, which is. Still has such, a stigma

that people don't know how to react. So

even friends, even family members, we didn't know what to say

to my sister. And so instead of saying

something or talking about it, people tend to

be quiet. And silence

makes it just that much worse for the people in the situation,

because they already feel alone.

And when we respond with silence, it makes them

feel even more alone. And so I wanted to

address that in the book, and then I also wanted to just

address some of the issues related to self determination

in people who are struggling with mental illness

and how tough that is

to find the right line.

because obviously, we want to give people as

m much decision making as possible. But also

there comes a point where, as a parent or as

a loved one, even sister, brother,

friend. There can come a time

when they've gone over an edge that

they can't be pulled back from. And m the, idea of

letting them make decisions for themselves at that point is really

frightening for loved ones.

>> Jeniffer: Yeah. And, you know,

I had mentioned early on in this interview

that mental m Health runs in my family, mental health

issues. And I have a nephew who has

been diagnosed both bipolar, and he has

borderline personality disorder. And I remember

at one point when I was really struggling

with how to help him, trying to figure out what can I do to help.

I called Anastasia and I said, what do I do? And you

gave me some advice that was so eye

opening for both me and my mom and my family in general.

But I'd like to read a line from the book that I think comes

directly from this. And Julia says to

herself, Julia knew suddenly, ironically, she had to

want to die to get a chance to

live. Talk to us about what

that means.

>> Anastasia Zadeik: Well, in addition to my nephew, I should mention that

I myself struggle with depression and anxiety.

And, thankfully, at this point, I can say that I'm managing it,

which, has been my goal, and is my goal for anyone out

there who's currently struggling is to get to the point

where they can say that, that they are managing it.

But there was a time in my life, just a few years

ago, when I no longer wanted to

live. And I think that being able to say that

to someone puts you in a position to get

help. M and it was

the hardest phone call I've ever made was

to basically call 911 on

myself. And I was

scared to do it. But at the same time, it was such a

relief when I was done, because

suddenly this thing that I'd been carrying for years,

decades was out in the open, and

I was able to get help by just

admitting I needed help. And we

as a society, I think, are so used to saying, I'm

okay, I'm fine. That to say anything other

than that feels really, really

still, I guess, taboo or

uncomfortable for others. And so it's

uncomfortable, I think, for ourselves to say

it. so I think that's the line for me, is that

she's basically saying, in order

to get the help I need, I

have to be able to say that I want to die.

>> Jeniffer: There was something I took away from it as well when we were

talking, which was, you know, if he can call

and get himself admitted and get some

help, it puts him in the. In the power seat.

>> Anastasia Zadeik: That's correct.

>> Jeniffer: As opposed to being forced into that situation where you no

longer have choices. And I think that's a big part of feeling

in control of your own healing, of your own

journey to get help.

I think this is. Go ahead.

>> Anastasia Zadeik: I was just going to say when Bethany, Bethanne and I were speaking about this

just yesterday, and I think you would agree, wouldn't you,

Bethan, about when you get to that point. And,

you know, m I

absolutely would agree.

>> Bethanne Patrick: when you hit that point,

it is.

That's, that's the glimmer. That's the

little glimmer of I still want to be

engaged in this world.

>> Jeniffer: Yeah. Wow.

Well, so, Bethanne, tell, us a little

bit about your memoir, why you wrote it,

what you were hoping to accomplish with this book.

>> Bethanne Patrick: Thank you so much, Jennifer, for asking.

I didn't intend to write a

memoir at all. I.

>> Jeniffer: Does anyone ever?

>> Bethanne Patrick: I swear, honestly. You know,

actually, I had,

proposed and sent around,

submitted a memoir probably

at least six or seven years before

this completely different kind of concept.

And it wasn't really about mental illness,

and it didn't go anywhere, which is just as

well. And around the time

that I. This is how it happened.

I was really stuck. I had had

a big project fall through,

and I wasn't sure what to

write, what to work on with my agent. My

agent wanted me to write a book about sort of

being a book nerd, a very bookish person,

and I wasn't feeling it. So we had a

conversation in, I think, 2016,

and the agent said,

well, you know, what

is working for you in writing? And I said,

well, you know, I workshopped

something last year. It's an essay

about my trouble with

depression. And he said, sent

it over. I sent it over. An hour later, he called me back

and said, this is what you need to be working on. And

so we got that to

Elle online, and it came out in

2016, and it went, I guess, viral

ish, you know, I can't, I don't, I don't know what

viral is anymore. But it went, it

was a big enough, number of

clicks that people were interested. And so we

started shopping it around. And, I'm

very happy to say that counterpoint

press, bought it. And so I

sold it on proposal. And that's why I'm taking a

little bit of time to walk you through this process,

because that was

both the best thing and the worst thing

for me. Selling the

book was so

affirming. And I knew that I had something to

say, but I had to teach myself

how to write memoir.

and I really

didn't understand how much I had to learn.

So it took a while. It took me, five

years to finish the manuscript. And believe

me, you know, the day in 2022

when my editor called and

said I had to talk to you today because we are officially

accepting this manuscript. I was

just so happy, so

thrilled knowing that I

really had produced what I wanted to

produce, which was a book that

would talk about all the different

aspects of my

depression and hopefully then

give some resonance to

people who also have depression.

I wanted people to understand. and I'll get

to one of my biggest points in a second

here, that there

is the genetic component,

what is actually in

your DNA. Then

there's the hereditary component, which has to

do with what your

family has gone through, and also,

with how you're raised, how your parents

and grandparents have been parented

to this or that extent. And then, of course,

there's also context. And that has a

great deal to do, with how you

are raised, how you interact with your

various communities, both at home and

at school and in the wider world. So

it's a pretty complicated thing.

And my finding out

that I had double depression was extremely

important. Not because it

cured me, not because, it

makes me special, but it

made it possible for me

to have new treatment and new medication

that finally opened me up

to all of this joy and

fulfillment and contentment that

I'd seen other people having. I'd watched

it for decades, and I

didn't know where it came from. I didn't

know how other people were so

lively and active and engaged in things.

You know, I'd been. It felt like the whole

world was behind a sort of

foggy window for me. And

so, my diagnosis and

subsequent treatment really

gave me back, not just

myself, but other people too.

And so, as I say in the

book, I learned how to be

a woman with mental illness living in the

world. I learned how to

live in the world without always

being so miserable and desperate. And I

don't mean I'm sure other people

either, didn't see that, because a lot

of us are high masking. I'm sure Anastasia

can, talk about that, too, but

because who

wants to live feeling that

way? Who wants to keep going feeling that

way? And so the last thing I'll say,

jennifer, about why I wanted to write my book

is that I've had so many people over

the years, say, variations of

this, which is, you have everything.

You have a great education, you have

a loving spouse, you and your spouse have

wonderful children. You have work that you

love. You know, you don't have anything to be

depressed about. Sorry,

that's not how it works. and I will say

this over and over again for the rest of the time

I have here on earth. Depression

doesn't care whether you're young or old, rich or

poor, fatter, thin, successful

or on the street. Depression

is a, ah, liar. And depression

is really painful. And you can be someone

who has a great amount of privilege

and still have terrible, crushing

depression. And that is not because you're

ungrateful. It is not because you're weak of

character. It is an illness.

>> Anastasia Zadeik: Yeah. And, you know, one of the things we were talking

about yesterday was also like, some people

take masks. I mean, I'm a masker for sure. My

daughter's a masker. And I mentioned to,

Bethanne, when my daughter first started taking medication, she said, I didn't know

people could feel like this, which was heartbreaking on

the one hand, and also just, but also great because I was like,

wow, that's, that's amazing. And.

But some famous people

mask to the extent that they don't want people

to feel what they feel. And so they are

determined to be joyful. Like a, Robin Williams, for

example, who clearly was

incredibly depressed and turned it into material.

Now, that doesn't mean that

it's, quote unquote, worth it to be depressed,

but it's just interesting how it

can impact you so much.

And many, many people may not be

aware that you're struggling with it.

>> Jeniffer: Yeah. Sting from the police.

>> Anastasia Zadeik: Yeah, yeah.

>> Bethanne Patrick: Yep.

>> Jeniffer: I pulled up a quote from him. Said I was

suicidal, I was manic depressive, and I

just wasn't chemically balanced enough to enjoy my

time on the stage. And

I think that's so common. And it's important that we

have stories like that. It's important that we can read and see. Oh,

I'm not alone. And maybe there's something I can

do to seek help.

>> Anastasia Zadeik: Absolutely. And it's funny. Not, funny haha But funny

strange. Just a couple days ago, I got a

review and someone said, it's so brave of her

to be so honest in her author's notes. And I thought,

I want to get to the point where I'm not considered brave

for talking about this. I want to get to the point

where everyone feels like they can talk about it without,

without being judged.

>> Jeniffer: Yeah.

>> Bethanne Patrick: Well, and you know what? I want to add something. I want

to piggyback on that. Anastasia, I've told

audiences before that. You do

not have to be open about

your mental illness, your

challenges. No one

has to be anything.

>> Bethanne Patrick: It's okay if

you do want to keep things quiet.

If you do choose not to

be public the way I have been

public about my challenges,

what's important is

that everyone

respect each other's choices and

also that there be as much support

and information available as possible. So

even if you are playing your cards very

close to the vest, that you can

get the resources you

need to live as well as possible.

Everyone has a different kind of process

and journey. And, you know, recovery, as they

say in twelve step groups, is

not this linear, you know,

trip. I mean, there are so many twists and

turns in whether you're

recovering from some kind of substance,

challenge, or whether you're recovering

from deep brain

based depression. So I

would never say to anyone,

you must share your story with me. But if someone

says, may I share my

story with you? Let me tell you, the

answer for me is going to be yes,

absolutely.

>> Anastasia Zadeik: and I agree. I think that one of the

things, my sister in law had cancer, and one of the things that

she said was so important for her was

having control over how people who knew and

how they found out, because she felt like she had so

little control, from, the cancer and from what was

happening to her and that she, that was something she

needed. And I think that that's right. That's true. For any

illness, mental illness, physical illness, anything that's going on in

your life, you're not obligated to share that. You're getting divorced, you're not

obligated to share anything. But if you

want to share, I mean, you

know, you look back, I don't remember who I was talking to about this,

but someone, we were engaged in conversation about

the big c and the big d and how decades

ago you couldn't talk about cancer or divorce. Right? Like,

people didn't talk about that back then. It's sort of

like that with, hm, mental illness. I think we just have to get to the point where

people, if they wish to, can speak

openly about it and can find. But again,

you're absolutely right, Bethan, that we also have to

get to the point where there's support that's

readily available so that people can educate

themselves, so that they're ready to receive that

information from someone else, so that they know what to say, so

that they don't, that they aren't silent, so that they,

they have resources. And I think that's you know, somebody

asked me, so are you saying you have to, we have to educate everyone in the

public? And I'm like, yeah, yeah, yeah,

yeah. That's what we gotta do.

>> Jeniffer: Well, mental health is not a character flaw. And I

think that's one of the things that came across so well

in your book. Bethan, thank you.

Is the way you, you talk about how it feels like if you

have lupus or if you have cancer, that's a

disease. And people, when you tell people, hey,

I can't function at 100% today because I have

lupus, they're like, oh, okay, let's do what we can to

help and help you through this. But

when you have mental illness, that's not how it works.

People see it like you're just not being strong enough. You're just being sad.

You just need to buck up. As Laura

says in Anastasia's book. Buck up and get through it. But

that's not really how it works.

>> Bethanne Patrick: No, it isn't.

And actually this is, the perfect thing

to segue from what we were just talking about

because everyone has a different

learning process, everyone has a different

journey. This is why I love

that Anastasia and I are talking together about our

books. Because one is nonfiction

and one is fiction. And so you

get different ways in. Some people

might love both of them. Some people might prefer

one or the other, but it, it

shows that you can

talk about these issues in

a thoughtful, and again, to use a

word, I describe the other side of nothing with

compassionate way. You do not

have to,

demonize or villainize or

ostracize people with mental

health challenges. You can actually see,

wow, they're people. I love

the fact that Julia and Sam

have different things that are going

to occur in their

own journeys in the book. But they're both

fully human, they're both full characters.

They're not,

neither one of them is just a flat sort

of, And I don't think Anastasia

is capable of writing flat character.

But I do think it's so important

that we see, even when someone

is in real crisis, that they are still

fully human.

>> Anastasia Zadeik: Absolutely.

>> Jeniffer: Anastasia, you picked up your book. I have a feeling you want to read us something.

>> Anastasia Zadeik: No, I was just, there was when you said that about,

it's not a character flaw. It just reminded me of this

one scene where the two moms are talking and they

have not yet decided to work

together. And

why?

>> Jeniffer: Because they don't want to admit what's happening. It's a personal thing in

their families. Right. And they're afraid to tell the other because it makes them

vulnerable. Right.

>> Anastasia Zadeik: And Laura basically says, so what

you're telling us is your son has stolen from you, taken his

father's car without permission, and convinced my daughter to leave

against medical advice on some ill conceived journey

to recreate an image that's going to change his life. Do I

have it straight? And then the mom says, the other mom,

Arabella says, it certainly does not sound good when you put it that

way. And Laura says, how else can it

be put? And Arabella says.

Arabella found herself questioning whether her underlying

emotions bore any similarity to Laura's. She was

reminded of something she'd heard from one of Sam's many

therapists. She locked her eyes upon Laura's. Surely

you've surmised, given where they met. Sam's

thinking can be faulty at times, but being mentally

unhealthy is not the same as being immoral.

>> Jeniffer: M nice. Yeah,

that's great. Thank you for reading.

>> Anastasia Zadeik: Because I think people, you know, when you're, when your decision making

is flawed because your brain is not

operating.

>> Anastasia Zadeik: At the highest level, it could be we

make bad decisions sometimes. And I think that that's,

I mean, we make bad decisions anyway,

but it does, it does change the way that you see the world.

And one of the other things that I think

is notable about depression, and

that, again, is something that my nephew

said to my sister was everything

shaded, every memory he had was shaded by

his depression. At one point he said to my sister,

why did you take us to Disney World when we were little, when we

would never remember it? And she was like, everything,

like, even something super joyful that they did when he

was a kid, he now viewed as something like,

just like you said, Bethanne, it was like this fog

that was over everything. So even good memories aren't

good anymore. so

it's such a serious issue

for us to be talking about. I'm glad we're able to do it so

openly now.

>> Jeniffer: Well, today I'd like to take a

step back because there's two things I'd like to tell our listeners.

These are fantastic books. Anastasia, your book

is so smart. And I want to talk a little bit about

the research. in your book, you

know, the artists, the philosophers,

and you know that you chose

Camus and the myth of

Sisyphus. And I'd like to know

why. Like, first of all, as I was reading it, I kept, like,

writing notes down, like, oh, I need to read that. Oh, I need to check that out.

Like, all these fun things that were just so, so

fun to read and so smart. And

it was like getting into your brain a little bit, which I really

enjoyed because I've known Anastasia for many, many years and consider her

a very close friend. We're both involved in the San Diego

Writers Festival. Well, frankly, we put it on.

And so, like, we've been through a lot together. And as I was reading this

book, I was like, wow, this is like, such a great

journey into your brain.

But I want to know specifically, like, how

you came to choose Camus

and that particular

book. Bring us through

this.

>> Anastasia Zadeik: So there's a. I'm a

pantser. I don't plot my stories out. I

wish I did because it would make my life easier.

>> Jeniffer: Wait, now, hold on. Before you go on, is this something that Marnie

created, the pants or the platter?

>> Anastasia Zadeik: No, it's in the industry.

>> Jeniffer: Ok. Ok. Because I've always given Marnie credit. So, like, I'm a

pantser. Go on, Miss Pantser.

>> Anastasia Zadeik: So for the audience, if you don't know, a plotter is someone

who plots out their book. They use outlines. They have it

all organized. They know where the book is going. They know what the ending is. They

know what their character arcs are. Roughly, a

pantser is someone who sits down and just starts writing with just a

vague idea.

>> Jeniffer: That would be me.

>> Bethanne Patrick: I'm also a pantser.

>> Anastasia Zadeik: Are you a pantser?

it's kind of, for me, it's a recognition of that. I don't understand where

creativity comes from. I think it's miraculous.

It's also a little mystified and sometimes a little bit

like, wow. I'll, read something I wrote and be like, where did that come

from?

>> Jeniffer: Who wrote m that? Yeah.

>> Anastasia Zadeik: but so the early stages of the book, I

had Sam basically

giving a monologue. He's a really talkative

young man, and he used the phrase

sisyphean to refer to his own

struggles with mental illness. He

has bipolar disorder, and so he has lots of ups and

downs. And for him, it feels like he's

struggling to get to the top, and as soon as he gets to the top

of the mountain, he slides back down, has to start all

over. And I realized that I didn't know

that much about the story of Sisyphus. I

mean, I knew as much as anyone else about, you know, this guy

pushing a rock up a hill only to have it slide back

down. But I then looked and found

out that there was this book, the myth of Sisyphus,

and it. So I bought it.

And I started to read it on vacation, where I sat by the pool

and envied everyone else who was reading something way

more fun.

And I read it the first time and kind of just

was, oh, my God, I don't understand most of this. I had to look

so many words up, and that

became kind of a part of the novel.

The character Julia, when she starts reading it, she says

she wishes she had a dictionary. So there was things that

happened to me as I was reading the myth of Sisyphus

for the second time, for the third time, I

highlighted it. I wrote little notes in the back, and that

all became part of Sam's process, and Sam did

that. So it's. It was my way of

kind of like, this is what it was like for me. So

that's probably where it gets some of its reality, is that this

is what I went through. I also recognized

that I did have a slight advantage in writing

this, in that it could be wrong. I could be

interpreting the myth of Sisyphus totally wrong.

but that's just the way my characters interpreted it.

So there's really no right and wrong. That's how they saw

it. but so then I started learning about all of the

connections between, for example,

Camus and Escher were

m in contemporaries, and Escher's ascending and

descending, which is a very famous one of his

drawings, is similarly about, like,

you feel like you're going up, but you're really going down. You feel like you're

going down, but you're really going up. Like all of this sort of up and down,

black and white. And

then that all connected with

Ansel Adams being a black and white photographer. The COVID of

the book that I happened to pick, the version of the myth of

Sisyphus that I happened to pick up, had a black and white

cover that was triangles that almost looked like half

dome. There was all of these synchronicities that were

happening in my process.

And I did go down rabbit holes, and

I would come into the kitchen at night, and my husband would be like, you were

researching today. I had the look on your face

because it was so joyful. I loved doing that.

And then I also realized that the myth of Sisyphus is

also applicable because there's lots of myths about

mental illness. There's lots of perceptions that

people have that are just plain wrong. And

one of the. There's a section of the

myth of Sisyphus that Julia reads aloud to

Sam that ends with

Sisyphus being happy. And it

struck me that, you know, this is something

that is part of the book is this idea

that you can, when you're depressed you feel like you

can never be happy but there is a possibility for

you to find that. And so that was

kind of how it all came to be. And it

was a mystery sometimes to me how I would find something and

I'd be like who led me to this? Like some higher

power must have led me to this because

it all just, just seemed to

flow.

>> Jeniffer: Yeah.

>> Anastasia Zadeik: Yeah. It was a really cool. I enjoyed writing the

book. I also struggled with writing the book because it

brought up a lot of emotions for me that I was feeling

myself. And when you write about depression and

Bethan, I don't know, maybe you can comment on this too.

When you write about depression, it can be depressing.

>> Jeniffer: Yeah.

>> Bethanne Patrick: Yes. Oh, yeah.

>> Jeniffer: That was gonna be one of my questions.

Bethan is like, what was your experience,

you know, reading this book?

>> Bethanne Patrick: reading Anastasia's book or my experience writing

my book?

>> Jeniffer: Well, speaking to both, yeah. Reading Anastasia's

book, like, did you feel like, oh my God, she got it right or, I mean,

they're very different?

>> Bethanne Patrick: Oh, absolutely. That was a, really

important part of it. And that's why I was

so delighted,

to see how good and strong it

was. Because I

think it could have been a book that there

are some novels and

memoirs where I see

excellent sort of

thought. Right. And really,

good authentic experience. But

the writing is very,

you know, very plain spoken, very dull.

>> Jeniffer: Yeah. But the writing is so good in this

book.

>> Bethanne Patrick: The writing is so good in Anastasia's

book and yet at the same time, every

detail is correct. And

just as I said, those opening pages got

me because I thought I wrote about

being on a locked psych ward. And

there it is. This is it. and of course

it's not congruent. It's not as

if Julia, the character's experience is

exactly the same as mine. It's that, that

it is authentic that I could tell

this was coming from. You know,

and this is the thing. You both know, you run a

writers festival. you never want your

research to feel like,

hello, research alert on the page.

Right.

>> Anastasia Zadeik: Exactly. Now I'm going to tell you something that I learned.

>> Bethanne Patrick: That I think. Exactly. Exactly.

And I have one novel. I

have one that's my work in progress.

But I have one before that that I've done quite a bit

of work on. But I knew it was going to have

to rest for a long time because I was

starting to get so excited about

those connections. You were talking about a few minutes ago,

that I was just putting things in

because, oh, my gosh, I can't believe it. This

town had a blank.

This. And it connects to, you know, that

is where you're really, you know how they say, show

your work in math class. You know, you're showing your work instead

of allowing the reader to, you know, have

an experience. And so it was

really, it was,

it was heartbreaking, ah,

to read Julia and Sam's story.

But I am in such a

different place than I was even

when I wrote my memoir,

that I was able to have

a lot of compassion, but not, I wasn't,

you know, identifying too much. I wasn't

projecting myself onto the characters, which is

definitely a good thing. Ah. And I felt

a lot for Arabella and Laura as

the parents of these young people

because I have

two daughters and they're young

adults now. And I know how

hard I have worked

to keep them from

having the same experiences

as I had. You can't keep your

children from experience. But

I wanted to be sure that

they were able to benefit

from everything I had learned and from

the experiences I had had and from the things

that I'd lacked that I knew. you know, whether

it was a resource or, you know,

a way of being treated, I wanted

them to have the full benefit of

that. And so I really think in the other side

of nothing that it's so important

to see

how the families are

supporting each other,

supporting these young people.

And that brings me to something else, since I'm

talking about my own daughters. I think this is an important

part of Anastasia's book is that we

want to be sure that people learn

early about mental

illness and what it is and what it

isn't. It's not just, oh, okay, this is

a good reading experience. This is a good book. I brought it along

on vacation or what have you. It is

a real call to action. And earlier

on, Anastasia said

it's about breaking the stigma that's so important.

>> Anastasia Zadeik: And I think your book does the same. I mean, it's

showing people that you can be,

you don't know what someone else is experiencing.

>> Bethanne Patrick: Thank you. Thank you so much. I pulled

up, actually, my, I'm, going to get

this wrong too, because I never know the

difference. I have a graduate degree in

English, but I still don't know the difference between an

epigraph and an epigram. And I should.

But my quote, at the beginning of

my book is from a peer of

ours, mine and Anastasia's named

Elizabeth Wurzel, who wrote pros

acknation, very powerful memoir that

came out. she, sadly, is no longer with

us. But I want to say

that was, and it's still sad.

She, died of breast cancer, not by

suicide. And that is, I

think, in a way, a

kind of triumph for how hard

she worked on, her

own mental health challenges. But the line

from Prozac nation

is, I was so scared to give

up depression, fearing that somehow the

worst part of me was actually all

of me m. Oh,

>> Jeniffer: Wow. Yeah. Wow.

Wow.

>> Anastasia Zadeik: That's.

>> Jeniffer: Yeah.

>> Bethanne Patrick: That was so important to me. I really

did hold on, I think, to

depression because I

thought that was it. And that is such a great

description of double depression because it is,

you're depressed all the time. You start out

depressed and you get more depressed. So,

you know, I want people to be aware of that,

too. It's not just

bipolar syndrome. It's, you know, type one,

too. There's just. Yeah, so keep asking questions.

Keep, you know, advocating for yourself.

>> Anastasia Zadeik: Can I. Can I just pop in a question real quick? Is that

RK Jennifer Bethanne, can you explain

to the audience what, like, to listeners what double

depression is like?

>> Bethanne Patrick: What is it? I will try. I am

not a professional.

>> Anastasia Zadeik: No, no, no. Neither of us are professionals. We're supposed to say that

right off the bat.

>> Bethanne Patrick: Right. so the way it was explained

to me by this psychiatrist was that

someone will have a first degree family

member with bipolar syndrome. Could be one or

two bipolar one or bipolar two.

And they have depression and it

doesn't seem to respond to treatment. What

is happening is that that person is

cycling just like the person

with mania and depression, but

they cycle from depression to

worst depression. so actually,

you, let's say, pretend there is a norm

because we all know normal is

contextual. But if, there is a

line and mania is above the line,

the person with double depression starts out

below the line and then in times of high

stress, will go deeper.

So it's a combination of

chronic depression and

clinical depression or major depressive,

episodes.

>> Anastasia Zadeik: So it's basically like cycling within

depressed.

>> Jeniffer: Within a depressed state of mind but never rising

above.

>> Bethanne Patrick: Yeah. And I knew one of the scenes

I have in the memoir is telling

my then boyfriend, now husband of

decades, one night, you

know, we had been out on a date or whatever, and we

were, you know, in a parking lot somewhere, you

know, draw veil.

But we were talking and I kept

crying and crying and saying to him,

there's something really wrong with me? Are you sure

you want to be with me? Because there's something

wrong. And I know my

editor and my agent hate it when I

talk too much about something being wrong because of

course as Anastasia and I have been saying, jennifer,

it's not wrong. You're not wrong or

bad. I'm just saying those were

the words that I had at the time

and it took so long

for me to confirm that

there wasn't something wrong with me. There was something

that needed to be addressed. With me.

There was something that needed to be.

>> Jeniffer: Something was not right.

>> Bethanne Patrick: Exactly.

>> Jeniffer: yeah.

>> Bethanne Patrick: And so that's another

thank you Anastasia for asking me to define

it. It just goes back to what I said

a couple of minutes ago, which was that you have to be

your own advocate if you know

there's something, you know, not something

wrong, but something that is

keeping you from

having contentment, fulfillment. You

know. happiness is such an odd word.

And the other side of nothing, as

Anastasia talks about so

beautifully in the novel, in her

novel, is that it might be

nothing but it might be everything.

>> Bethanne Patrick: And I actually

have completely changed

my life. By

pursuing a proper diagnosis and

treatment. It is possible you can be

in your fifties and there can still

be hope, there can still be change, there

can still be things that, you know,

make you wake up, you know, with

more energy and all of

this, it's just, I don't want anyone

to give up, you know?

>> Anastasia Zadeik: Yeah, absolutely.

>> Jeniffer: Bethan, you're an incredible writer. I'm sure

you hear that all the time. Yeah. Reading your work was a real.

>> Bethanne Patrick: No.

>> Jeniffer: Well, I'm here to tell you.

>> Anastasia Zadeik: Me too.

>> Jeniffer: yeah, just absolutely brilliant. As I was reading your book

I just kept stopping and rereading sentences and just

grateful that I had the pleasure of reading

it. And I hope that our listeners will buy both of these books

because they are both great reads. But Bethanne, the way

that you bring us into your world

works so well. And I don't

think I know anyone who doesn't have some experience

with mental illness, either a family

or a friend or themselves. And

you do it so well. Like, the pacing

is really good because in parts it's

funny, it's irreverent, but

it's so honest and raw.

And so I thank you for writing

it and I know it wasn't easy. And you mentioned earlier, like

of course writing this must have been really hard to go

back into those states of being. Must have

been very difficult for you.

>> Bethanne Patrick: It was. It was very, very

difficult. And one of the things that

I realized as I was working on this

and having trouble and trying to

get it structured properly was

that I had never

had a really solid

family narrative.

>> Bethanne Patrick: That is for a lot of reasons. And,

you know, my parents were doing

absolutely the best they could with what they had

and what they were able to do. But,

but because of the family

history of mental illness and

challenges, there were people

that they didn't want to talk about that

much. There were people who were masking,

there were people that no one, you know,

discussed, et cetera, et cetera. And

so one of the most important things you can

do for your own children in

this life is to give them that strong family

story. There are so many ways to do it.

you know, I mean, we're not doing a

parenting discussion right now, but, you

know, one of the things I'm so grateful, to my

husband for is during the years when

I was really, at the very

lowest point, he made sure

we had family dinner every night, even

if I was there in a bathrobe and just sort of trundled

back to the bedroom afterwards. He

did that for us and that

now we can see

the fruits of this. And I know Anastasia

can also speak to this with her children.

we have such loving,

connected, real relationships

with our children. and there are

no secrets, there are no

pretending kinds of things.

And so, although it was tough to get

the writing done and to go back to some of these

sad points some way in the past, some

much more recent, I wanted

to be sure to change the

script. And so that's why, a couple of the

chapters that are most important to me are the chapters in

which I do show

my conversations with our daughters.

And they were tough. They involved

tears on both sides, but, but

they did change things. And,

it's just the kind of

family life that I

would see. I would watch it. I knew it

existed. I had friends, I had

classmates, and I would see this at their homes.

And again,

my parents weren't trying

to do things poorly. It's just they

didn't have all of the tools and

knowledge that, you know, I have.

And let me tell you, they are the people

that I have to thank for getting to this point,

because they did make sure that I got

to smith was

amazing, amazing thing, and I will be

grateful for that for, you know,

all the time.

>> Anastasia Zadeik: And I think that's another theme that's in both books is this

idea of intergenerational

impact. because I think we are

all the product of our environments as well as our genetics.

And as you mentioned, Bethanne, so many other factors come

into it, but we often, our

gut reaction is to behave the way that we saw

and to change. It is possible to change that. And

I think that's a good message to get out there as well. Like,

you don't have to keep repeating the ways that

things were done in the past. You can change things.

>> Jeniffer: Absolutely. Amen. Indeed.

There's a couple themes in both

books. Maybe not themes, but things that happen

in both books. And one of them is

in Anastasia. In your book,

Julia often does this thing where she

steps outside of herself as if she's looking down

on the scene that is happening. And it's a coping

mechanism. And I don't know if you did this on purpose,

Beth Anne, but there are times in the book when you start to

talk about yourself in the third person. You do it

a couple times, like, I think, two or three times. And it's

incredibly poignant and effective in

making it feel, I'm

guessing, how you felt, which

was you had to step outside of it in

order to look at it again.

>> Bethanne Patrick: Yes, yes.

Absolutely had to do that. It was

very, very tough. And that's

one of the challenges

in writing memoir. And I know you

both are involved in different kinds of

communities. Anastasia, you're on the board of the

International Memoir Writers association, for

example. so you know a lot about this,

but choosing tenses and also

choosing when and if to

break the fourth wall.

>> Anastasia Zadeik: Right.

>> Bethanne Patrick: In memoir, this is.

I learned so much about this

in the process of teaching myself how to write

memoirs, I said. And there were a

couple of places, particularly in my chapter

about the years when my husband was

assigned to Berlin and we lived in West Berlin before the

wall came down. I thought,

I can't quite be there. I

can't quite access that. And,

yeah, sometimes it was

much safer to speak about

myself, as you said, in the third person.

but I hope that it, as

you also said, was effective and

not something that put readers off.

So I'm really, really grateful to hear that. Thank

you.

>> Jeniffer: No, it didn't. Not at all. In fact, I think it was

even more powerful because you get

how, difficult that was. And now we're looking at it from

this outside perspective,

and you also speak to the reader many, many times.

Is that even possible? Does it even matter?

You know, these parenthetical.

>> Bethanne Patrick: Oh, I drove my editor crazy.

>> Jeniffer: I fucking loved them, honestly.

Like, occasionally, I swear. Sorry. Our listeners

know this about me, so it's okay. yeah, I just, I

loved it because you brought us in

and it was like you trusted us. And I think that matters

in memoir.

>> Bethanne Patrick: I do too. And you know what?

That is such an important thing to

say because one

thing I know for sure there, I

tried to only tell stories

that were mine to tell. I don't know if I wholly

succeeded in that. But what I know I did succeed

in is

I'm right in there. I am not holding

myself above anything.

I am very much a flawed

character. Terrifically flawed character.

>> Jeniffer: Terrifically flawed. Yes. Thank you.

>> Bethanne Patrick: So that is, one

of the reasons I think when I

do bring the reader in, as you

said, that the reader can trust me

because I am not playing games,

I am not trying to win you

over to my side. I am not trying

to be rhetorical. I

am actually, Asking the

question in a very vulnerable way.

>> Anastasia Zadeik: I think it's also great to acknowledge

the reader is there. Right? Ah, they're there with you.

And I think in a way when you do

break that fourth wall in an intentional

way, it

creates an opportunity for them to step into your

shoes and to understand. It's a conversation. Books like

this are a conversation between the writer and the reader,

in my opinion.

>> Bethanne Patrick: Isn't that true? And you know, one of the things

Anastasia and I spoke about yesterday

is that she originally

intended to write a memoir, but

her writing coach, said, okay, you

know, this is not what you

are meant to be doing. And again, I'm not trying to take over the story,

Anastasia.

>> Anastasia Zadeik: No, no, no.

>> Bethanne Patrick: I am, but I am, I thought that was so

powerful that you listened and said,

okay, I'm going to go into

fiction right now. And here

you are. You know, you've just published your

second novel and it's so

incredibly frickin

fucking good.

>> Anastasia Zadeik: This is making me my, this is making my release days.

>> Jeniffer: I was gonna say this is a good day to make it.

>> Anastasia Zadeik: Great day. But you know, it's interesting

because. So my writing coach is Marnie Friedman

and she's also the programming director

for the San Diego Writers Festival. And I met, but I met her as

a writing coach first.

>> Jeniffer: And she's my writing, she was my writing coach

too, by the way.

>> Bethanne Patrick: Oh, wonderful.

>> Anastasia Zadeik: Yeah, she's fantastic. And she, she's the one who told

me I was too, I was still in the

memoir, I was still living the story. And as

a result, my emotions were almost too

raw and they were coming across as

angry and, bitter.

And I didn't want that to be

the story that I told. And I think she knew that,

and she said, you just need to give it some space. And

so that's another good thing for

listeners to know. Like sometimes the book that you

are supposed to write is still to

come.

>> Bethanne Patrick: Yes.

>> Anastasia Zadeik: You know?

>> Jeniffer: Well, Marnie told me to do the same thing. Marnie has this

power where she knows you need to write a story, even if you don't

know that yet. And she tells you write it

as if no one is ever going to read it. And

I think she knows that you're going to get all of the bitter

anger out and on paper,

but then you're letting them go, and that makes space to write the

book that you actually need to write.

>> Anastasia Zadeik: Yeah. And, you know, one of the, one of the situations that I

was dealing with, I was explaining to Bethanne, is I wanted to

write a book about mothering because I was

stepmothering, my husband's daughter's

ex wife had bipolar disorder and addiction

issues.

And so I was watching someone

with a bipolar mother trying to

navigate the world in a way that was

really difficult because she had no

models for what, what quote unquote

normal looked like. And I don't mean that to say that

bipolar disorder families are not normal. That's not what

I meant. But just sort of like she didn't have a model for day

to day life that wasn't chaotic.

>> Jeniffer: Yeah, right.

>> Anastasia Zadeik: And so I was trying to mother her, then

her mother died. And at the same time, my

mother, I was losing my mother to Alzheimer's.

And so, And trying to mother my own two children through

all of this. And so, so a lot of

that is in the other side of nothing.

But it's fictionalized. It's some of those same

emotions, but they're in Laura or they're

in Arabella, but they're not. You know, I have

that distance to be able to kind of assess it and say,

where does this fit into a story?

>> Jeniffer: M There were so many times in the book

when I saw you and could

hear your voice of stories, but they worked

so seamlessly. Like, no one else is going to know that. Right. But

right down to the, Yorkshire pudding.

>> Anastasia Zadeik: Yes.

>> Jeniffer: Julia's favorite meal. Yeah,

actually, Anastasia's children's favorite meal.

>> Anastasia Zadeik: Yes. My kids are super traditional. And my

father, for some reason, we're not english at all, but my

father, every Christmas we had roast beef in Yorkshire

pudding. And my kids are like, we have

to have it. One Christmas we were like,

well, we were thinking about having this, and they were

appalled that

we would even consider it. So that did make it in. Yeah.

She was making roast beef in Yorkshire pudding for Sam's

birthday.

>> Jeniffer: Exactly. Yeah. And as she was sticking the

garlic into the fat, I saw your fingers and I thought

to myself, I really want to go to Anastasia's for

Christmas Eve.

>> Bethanne Patrick: Thank you. I think. There we go. I think it's

a date.

>> Jeniffer: There's a point in your book, Anastasia,

where Sam, Sam says something to

Julia. something about how

Julia will likely rise out of this darkness.

Or I guess it's third person omniscience. So

Sam says Julia will likely rise out of this darkness,

but he never will. I know you had a

point in that talk.

Hopefully I have the same point. This could go in a totally different

direction. But my thinking was that not

everyone's going to make it out of it.

>> Anastasia Zadeik: You know, this one of the things that I wanted to

do with the other side of nothing. And I

think, Bethan, you probably wanted to do the same thing

with life. B is I want it to be

realistic. So much of what we hear in the

media, particularly about mental illness, is

either sensationalized so it's over

the top and you end up feeling kind

of that these people are, are

just weird. You know what I mean? Like just.

>> Anastasia Zadeik: Off the wall or.

Everything turns out perfectly in the end. Right?

>> Jeniffer: The happy ending. Yeah.

>> Anastasia Zadeik: They fall in love or they get the right job

or their husband comes home with

flowers one day and they have a big talk and

everything's better. And that's not the way

depression and bipolar disorder work.

It's a constant process

for that.

You may have a

clinical depression that started from a situation and

devolves into a clinical

situation. And you may find your way out of that. Like

you may. With the right medication and the

right therapy, you may kind

of find your way to a place where you were before

that situation tipped you. But for a

lot of people, depression is something that is a lifelong

thing. You're going to have it and you're going to have to manage

it and it, and that management, your strategies

may have to change over time.

Julia's situation is clearly situational. That tips

into clinical.

And sometimes though young people,

a lot of, a lot of depression and

bipolar disorder are diagnosed in

young adults, it's a time when a lot of that's the

onset. So. And with

bipolar disorder, it is a lifelong thing

for most, almost every person

that I've ever read. Memoirs of. You

know, Kay Redfield Jamison wrote this beautiful book called

the Non Quiet mind. And she's still involved in

it. And, she had this interesting perspective because

she was a psychiatrist at Johns Hopkins and she had

bipolar disorder herself. And so she could write

to both sides of it, as she puts it, as both the

healer and the healed. But she acknowledges

right off the bat this is something that you have to

this year. It's not going to go away. You have to

treat it your whole life. And so I think

Sam recognizes that. And he's

basically saying that to her, that's his opinion of the

situation, is that she will get out of it. But he knows he never

will. He's Sisyphus. He's gonna keep, he knows

he's gonna.

>> Jeniffer: Keep pushing that rock. Boy, that really, that,

worked out so well in this story. I was

like, oh, my gosh. That was brilliant.

And, Beth, I'm bringing it back to you. You know,

when you finally do get your diagnosis, I mean, you make it

very clear to the reader that you weren't healed. It, wasn't

like suddenly, okay, it's better. You knew that

you had to do the work, and it was hard work, and you're

still doing the hard work, right?

>> Bethanne Patrick: Absolutely. Absolutely. The work

does not end, and that

doesn't mean that it is

always traumatic and

effortful. the work

is something, and this

is going to tie into something

anastasia told me yesterday. So bear with me for a

second. The work

is what I do because the

medications keep me stable so

that I can learn

what is

best, what is, you know, making

me most able to keep on

my path in this life. I don't want to sound too

woo woo, but, if I

did not have the gift

of the medication, better

living through chemistry, then I

wouldn't be receptive to

the work. And so one of the things Anastasia

spoke to me about with her

nephew's journey is that

he happens to be against medication,

which is an entirely valid stance.

However, medication did

get him to a point where he

could start doing the work that he continues to

do. And so there are so many

things. There are so many. Depending

on who you are and where you are in your journey, you

might need to look into the past. You might need to

look into your current behavior. You might need

to, discuss

communication, with someone

in your family or with a friend.

There's so many different aspects

of becoming

fully human.

And so I

think that one of the

favorite chapters for many people in the

book is the chapter about my

starting yoga called learning to bend.

>> Jeniffer: I loved that chapter. Yeah.

>> Bethanne Patrick: Ah, thank you. that was a really

important one for me, because originally I thought I was

going to write, what would have been a

magazine article about how

long it took me to be able to do down

dog. I have a shoulder injury. And

so I thought, oh, this would be fun. This would be such a great

yoga journal pitch, that kind of thing.

I'm so glad that I never place

that because that material was meant

to be in life. B that

is part of the ongoing work, you know, for

me, movement, body

work, meditation,

relearning how to communicate,

with friends. And this is something that's really important

to me because, I

thought for so long, in so many different

situations, middle school, high school,

college, graduate school, wherever,

that I was sort of a

misfit, an outsider, that

I didn't have friends. Let

me tell you, when this book came out,

I got so many. I mean, and when

I say so many, I'm not talking hundreds. I'm. My

book is, you know, it's

finding its audience. but I heard from

scores of people who

were in my past and they weren't just reaching out

to say, wow, you wrote a book. I'm so impressed. You know,

can I get your autograph? They were actually

sharing love and support and

compassion for me. I

just, last week got an email from

a neighbor who moved away quite a few

years back, saying, I read your book

and it was truly moving to me

and important and, you know, congratulations

to you, blah, blah, blah. And I thought she

didn't have to do that at all. and the fact

that I.

>> Anastasia Zadeik: Misinterpreted.

>> Bethanne Patrick: So many relationships over

the years

is one of the things

that I'll continue working on. Not to

say that means I have to

reactivate all of those relationships.

Or that I, you know, am,

going to write a stunt memoir

about, you know, finding everyone.

What it means is that now, I am able

to say there are people who truly care

about me. How can I

be there for them? How can I also

recognize their real love and affection for

me instead of

seeing it, it through that fog

of depression? Yeah.

>> Anastasia Zadeik: Ah, it does. I

think I said earlier about my nephew, like he just, it

colored everything. Everything. Every

experience and relationships, as

you've just pointed out. You know, you misinterpret the way people

are behaving towards you because you're seeing it

through that fog.

>> Anastasia Zadeik: And it's. Yeah, clouding everything.

>> Jeniffer: So another one of the themes that

happens in both of these books is this idea of

identity for you, Bethanne. You

were searching for your purpose, your

identity. And I think, I mean, as all, we

all do this as humans, we want to feel purposeful.

And I think Sam does it in a way where if he just gets the

perfect picture, if he has the perfect person by his

side, everything is going to be okay.

Right? Talk to us. Let's start

with you, Bethan, about this, search

for your identity.

>> Bethanne Patrick: Oh, that is such an important question,

and I am not sure

if it's one that I've fully answered

yet, but it was.

You know, there is a really interesting thing

going around right now that I'm sure all of

you have seen about

birth order and how it affects, you know,

your life. And one of the things that

I literally just saw

online is that eldest

daughter syndrome is something that really

does affect your

happiness quotient, if you will,

because eldest daughters really do

feel so much responsibility

for families of origin, the family that

they are, born into. they often

feel they need to carry the, you know, the

mental load. We used to, you know, that, you

know, women's labor. We used to talk about,

you know, all of the things from holiday

cards to buying gifts to

organizing get togethers and that sort of thing. And

so it's tough to

really have fun when you think

that you're responsible for

everyone else's fun. One

of the things about my identity that I needed

to learn is that

with depression in the background,

it's always there. I'm not pretending, as I said, a

little while ago, that I am cured or that depression

is curable. It is treatable, it is

manageable, and you can get to a very

high functioning level. I don't

know if I'm using the term high functioning correctly,

but what I mean is, is you. You can

become a person who

really just feels very balanced.

However, what I wanted to say

about that is some people

that I spoke to during and

after the writing of the

manuscript would say, but

you're so funny, or, but you were

such a goofball. I remember you as this, and I thought,

thought, that is who I am.

Right? And I don't mean I'm a goofball.

>> Anastasia Zadeik: No, sometimes.

>> Bethanne Patrick: But I am a very

optimistic person. I am a

very happy, and

sometimes more spontaneous than I would

ever believe, you know, that eldest daughter thing,

I mean, I do feel a lot of responsibility,

and I am able

to remember that now. So when you talk about

identity, I had to. I mean, I could go in

another direction. I'm not going to keep going and going, going,

but, you know, yes, partly it's about

saying I'm a writer, I'm an artist, I'm a

creative, and I am going to do this, you know,

this kind of work for my daily, you

know, existence. But it's also about

saying I really am

that funny person. I really

am someone who

can lift people's spirits.

not all the time. That's, you know, but I

am not just my depression.

>> Anastasia Zadeik: Yeah, your depression doesn't define you.

>> Jeniffer: Yeah, well, I mean,

how many years have you been married?

>> Bethanne Patrick: Oh my gosh.

>> Jeniffer: 37 now.

>> Bethanne Patrick: No, it's. Now it's 35. This year. It's

39.

>> Jeniffer: Okay. Okay, 30.

>> Bethanne Patrick: I got married.

>> Jeniffer: Congratulations.

>> Bethanne Patrick: Thank you. Right out of college. Next year

is our 40th anniversary, so.

40th anniversary. 40th, reunion.

Yep, I've got it. You know.

Yeah. So a long, long time.

>> Jeniffer: And I was thinking as I was reading the book, you know, I mean, I've

known a lot of people who suffer from bipolar,

borderline, personality disorder, and various personality

disorders. And those people have a hard time functioning. But you

function in a way that allowed you to maintain

your marriage, to go

to college. Not everyone can do

that. So it tells me a lot about you.

I think the person that the world

sees may be different than who you felt

you were inside.

>> Bethanne Patrick: I think so. And I think, let me put it this

way. According to my last

three or four psychiatrists,

and I've had more than some people because my husband

was active duty military for 21

years. So we moved a lot around a lot,

and, but we've been in the same place for quite a while

now. the last few

psychiatrists have said, no, look, you do not

have a personality disorder.

>> Bethanne Patrick: That doesn't mean I never did.

Okay. I might well have

been a, raging

borderline or a narcissist or whatever.

I think this is something that is

very interesting to me. But again,

my current psychiatrist says she's not

surprised. One of the things that

depression actually gave me is

I started the work, the

therapy, the, looking at what was

happening in high school. And so,

so staying with that all

the way through may

have helped me. I kind of did

my own CBT, if you

will, my own cognitive behavioral

therapy. just because I had

depression and I needed to do something about it.

I wasn't doing everything because I didn't know

everything, but I was

able to break through

a lot of that. that's one of the hardest things. As

you know, Jennifer, for people with

BPD, etcetera, is getting

them into treatment.

>> Jeniffer: Yeah.

>> Bethanne Patrick: So, I think that is really

interesting. And now I'm really

grateful that I'm able

to.

If I'm doing something that

is hurtful,

then I'm going to talk to someone about

it. You know, not just hurtful to myself, hurtful to

other people. I'm going to say, you know,

should I have handled this differently? You

know, how can I ask for

forgiveness? and I want to.

>> Jeniffer: Yeah. Well, that's the thing, is, you want

to. And

you, you recognize that in the book that you, you have a lot

of hard work to do, but you were really, you were willing to do

it.

>> Anastasia Zadeik: It's a self awareness thing, right? Like, you

sound incredibly self aware. And

so many people aren't. So many people just go through life behaving

how they behave without thinking about how it impacts others.

And what you just said was, if I

feel like I've hurt someone, I'm gonna go and figure out

why in the book.

>> Jeniffer: There were some aha. Moments for me in reading

life be, and one of them was,

you're having a conversation with your daughter, and she's talking

to you about how hard it was for her. And you realize you have to shut up and

listen and not make excuses and just

listen to what she experienced.

And what I took from your

words was that you were so

deep in your depression and in your own sadness that, that

made you a narcissist. You weren't able

to see outside of you because you were

deep with this heavy blanket that clouded

this fog that kept you, in this state of

sadness. Deep, deep sadness. And I thought, oh, my

God, I know. Narcissists,

several. And I wonder, is that

what it is they're dealing with something so

heavy and so traumatic, whether it's

bipolar or whatever it is, it's making them a

narcissist. And, oh, my God, if they knew.

>> Bethanne Patrick: It's really interesting to me. I

definitely felt at

that moment like, oh, I

have been too self absorbed. And that is something that

depression does. It forces you

to think about yourself all the time.

Oh, my God, how boring. Now that I

don't have to do that, it's such a. Such

a burden lifted. But I also

have learned a lot about narcissism them.

And, I can say that, you know, and

Anastasia has much more psychology,

expertise than I do. But what I will say

is, what you just said, jennifer,

might have some validity because

narcissists are really made so

early in life, m through, you know,

trauma and, you know, really

terrible emotional neglect, not

just childhood emotional neglect, but in

infancy and so on

one hand. Okay, that's

narcissism. It is. But what is

that if not a form of

depression? What is, you know, that kind of

early, early trauma? I just.

It's so awful to think about.

It's so awful to think about. I

said to my psychiatrist, kept saying, you know,

narcissists are this, and you need to stay away from them.

They're very difficult. They're very, you know, they can't

be fixed. I said, but I'm

sorry. I said, maybe I'm like some kind of

wacko empath, but

I feel for a person who

experienced that kind of neglect,

they didn't do it. They didn't do it to

themselves. Someone else, you know, didn't

give them the

early things that all

human beings, all human babies

need. I don't know.

>> Jeniffer: But I will say that not all narcissists come from a

background that was abusive. So it's like.

But again, we have to say what none of us are, the

clinical hair, but I just.

>> Anastasia Zadeik: A little bit of humor about the narcissist thing.

>> Anastasia Zadeik: in addition to depression, I had severe social

anxiety. And I was always worried about

every little thing. What I wore, what I said,

Did we get too early? Did I leave too

late? Did I not say the proper goodbye? Did I.

It was just insufferable.

My husband put up with this for

years. I would wake up at two in the morning

and just be obsessed with some

minor thing or, you know, did

I wear the wrong shoes? I mean, just insane

stuff. And I use that phrase

knowing that.

>> Jeniffer: It'S probably insane phrase.

>> Anastasia Zadeik: Yeah. but one night

he said to me, honey,

you're just not that important.

And he followed up by saying, no one

else is awake right now thinking about your

shoes. and he was so right. But I think

that depression and anxiety can bring

you. Anxiety can make you so focused on

every little wrong thing you might have done

that it does crowd out a lot of

the experience. Right. You're in this situation and

you're so worried about what you just said or what

you're wearing that you missed

the joy of the event that you're attending and

the conversations that people are having around you, because all

you can think is, oh, that person just looked over at

me. Were they looking at me funny? Is it because I'm wearing the wrong

dress? Like you? I could go into this, like,

incredible circle, of

just self deprecation and

loathing, where I was so convinced that I had

done absolutely everything wrong, and it was such

a refreshing thing. And now when I think about it, it makes me

laugh. And whenever I start to go just a little bit into

that, I just think to myself, you're not that important.

>> Jeniffer: Well, I think that

we should end because we're coming toward the end of

our hour, which I think we could talk about this for

many, many hours, and it's such an important

topic. but thank you both for writing your

books. The other side of nothing is available

everywhere. Books are sold as of today. Of course, we'll

drop this episode on a different day than today, but still. Dear

listener, please buy this book. It's so good. And I

wanted to point out that Anastasia has in the

back of her book, just,

crisis helplines resources. It's

so important if you or someone you know is suffering from

mental illness or personality disorders. and I

love, bethan, how you separated the two.

They are very different, although often people can have

both. so thank you for doing that.

But if anyone who does know of someone, please

get help.

>> Anastasia Zadeik: Yeah. And I just. I only recently learned

after I wrote the book that a lot of the

resources for those who are struggling with mental

illness are also resources for their family,

friends, community members. And there

are programs now available through organizations

like Nami and, and, the

AFSP 988.

A lot of these have

actual training programs. You can bring them into your

community, and you can bring. They're going into

schools. They're going to high schools. So

there is a shift, and I hope that we

continue to move that way. But

definitely, if you see someone

struggling, you can be that

person. You can be that lifeline, and you

can reach out and say, I know someone

that is. That is in this position. What can

I do? How can I help them? And they will help you

help them.

>> Jeniffer: Nice.

>> Anastasia Zadeik: So that's, I think, a good thing to say

before.

>> Jeniffer: but then did you want to add anything to that before?

>> Bethanne Patrick: I just. Yeah, I'll just quickly

say that

I agree we need more

education. Never too much.

And again, I want to say to people,

if you aren't ready to

share everything, that's fine.

But I hope that you can

listen either by reading

Anastasia's novel or my memoir,

or both. That's right. Or many, many

others. And just, you know, the m

more that we can all

share these experiences, and the more

we can all open up,

the more I hope even

those who are feeling very

reserved about what is happening to them

or to their loved ones will reach

out to the professionals that we are

not will, you know, keep trying.

And I know that isn't easy. I am not. I

am really fortunate to

have excellent health insurance

and access in the DC metro

area to terrific

caregivers and different kinds of providers.

I know that isn't the case for everyone

out there, that many people live in places

where there might be only one

therapist in town and you have to drive a couple of hours

to see a really good psychiatrist.

But if

you can do it, please

do it. Please. because

there are so many different ways

to be in danger from mental

illness and I want

everyone to be safe. I want

everyone to feel that they

matter. You matter. You do.

>> Jeniffer: Amen to that. Yeah,

absolutely. Well, thank you

both so much for joining us. We really

appreciate your time, your books, and I

hope everyone does go out and buy both of these books. They are

both excellent reads in addition to good

stories and opening our mind to

the realities of mental illness. It

is an illness and unless we

know more about it, we're never going to be able to

help each other people.

>> Jeniffer: You can learn more about Bethanne on her website,

bethanpatrick.com, follow her

on thebookmaven on

Twitter or x whichever you prefer, and listen

to her missing pages podcast.

You can learn more about anastasia on Instagram

at anastasiazaddyk and of course on her

website, anastasiaZadeike.com dot.

Again, thank you so much ladies for being here.

>> Anastasia Zadeik: Thank you for having us.

>> Bethanne Patrick: Thank you. Really an incredible experience.

>> Jeniffer: This has been a great conversation and

folks, I hope you will buy your book their books.

This has been another episode of the premise.

You can visit us online at ah,

thepremisepod.com and subscribe

and rate or review the premise wherever you get your

podcast. Those reviews really help us get the word out

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You can follow me, your host on Instagram, Enfer

Grace, or follow me on Facebook at jennifer

thompsonconsulting until next week, thanks for

listening.